RESEARCH GRANT. DECLARATION OF ACCEPTANCE

The undersigned_____________________________________________________________ place of birth _________________________________________________ Prov. ________ date of birth___/___/___,  
Tax identification code_______________________________  (1), nationality________________________ registered as resident in Italy in the Municipality of ____________________________________________________ Prov. ______ address __________________________________________________________ no. _____ Postcode ______________ 
with tax domicile on 1/1/20____ in the Municipality of (to be indicated only if different from that of residence) (2) ____________________________________________________ 
Prov. _______ address ________________________________ no. _____ Postcode ______________
Ph. ___________________________, mob.  _________________________________________________
e-mail: _______________________________________ (* this information is required to receive CU income declaration)    

 or
resident in _________________________________ (Foreign country of residence) address______________________________________________ no. _____ Postcode ______________

□	married to ____________________________________________________________________
spouse's place of birth______________ spouse's date of birth ___/___/_____ tax identification code ________________________________ 
(* this information is required to receive CU income declaration even if the spouse is not dependent)

HEREBY DECLARES

that he/she accepts the award of the research grant referred to in the D.D. announcement no.  _____date__________, for the duration of  ____________ months to carry out the following activity: “___________________________________________________________________________ ___________________________________________________________________________________”,
starting on ___/___/______ and for the amount of ________________________Euros,
before the tax and social security deductions laid down by current legislation, paid by the recipient, to be performed at the Department of ______________________________,

 ALSO DECLARES' 

□	that he/she does not receive a research allowance;
□	he/she does not receive any other form of grant;
□	he/she does not receive salaries from public or private employment, or from fixed term employment;
□	he/she receives salaries from public or private employment, also to fixed term, in placement by the employer _____________________________________, on leave without benefits (please attach, where required by the current law, the relative authorisation issued by the relevant organisation);
□	he/she does not receive payments for self-employed work assignments from the University;
□	he/she is authorised by the Director of the Administrative Unit, having consulted the person in charge, to accept self-employed work assignments conferred by __________________________________________ (as subjects other than the University of Florence) during the period in which they receive the grant;
□	he/she accepts the provisions of Art. 65 of Decree law no. 30 of 2005 (Industrial Property Law, as per subsequent amendments and additions and in Art. 2 c.1 of the “Regulation for handling industrial property and intellectual rights in relation to the research activities performed by university staff”;  
ACKNOWLEDGES
  that, pursuant to art. 3 of the Regulation conferring scholarships and research grants (Rector's decree D.R. 54/2013), if the grant is intended for a doctoral candidate who has been awarded a place without a grant, the annual net amount of the grant awarded shall not be greater than the net amount received by the doctoral candidate who has been awarded a place with a grant. To this end he/she declares:
□	he/she is not a PhD student 
□	he/she is a PhD student who has received a scholarship 
□	he/she is a PhD student who has been awarded a place with no scholarship; permission granted by the Academic Board of the PhD school is attached 

that the University of Florence adopts the measures of prevention and protection before the activities at risk begin, informing the grant-holders of the risks for health and safety and the relative measures of prevention and protections to be adopted in this regard;
UNDERTAKES

•	to contribute to the correct implementation of the existing measures for the prevention of workplace health and safety risks, pursuant to Legislative decree 81/08 and the “University Regulations for health and safety in the workplace” of the University of Florence (Decree prot. no. 79162 of 26/05/2017), in cases where the conditions exist and the case arises, fulfilling the obligations required by current regulations and complying with the instructions given by those in charge;
•	to undergo the health checks envisaged by current legislation or requested by the doctor in charge of health inspections as laid down in art. 41 of the aforementioned legislative decree if, owing to the nature of the grant and the activities in connection with it, he/she is exposed to specific, identified risks; 
•	if the conditions exist, to attend the required training course and to undergo health checks whenever the need arises, in the absence of which the grant-holder cannot take up the agreed assignment;  
•	to attend training courses on workplace health and safety in relation to the activity they perform and in compliance with the provisions of the Agreement between the Central government and the Regions of 21/12/11.  
•	to notify of any changes in the declarations referred to in the previous points and is aware that, if any incompatibilities arise as in art. 8 of the current Regulation for awarding scholarships of research grants pursuant to D.R. 54/2013 (reproduced in the footnote hereunder) *, this will determine the revocation of the grant;

•	to present the reports on the activity undertaken to the person in charge, according to the terms and the methods established in the announcement;
•	not to disclose to third parties and/or for personal benefit any information concerning the activity of the University's activities and/or operations he/she has carried out in the period in which they carried out their activity;

REQUESTS
that the sum for the grant be disbursed by means of following form of payment:  

□	Bank transfer payable to the undersigned: Bank ____________________________
IBAN 
																											
□	Foreign Bank transfer payable to the undersigned: Bank ____________________________   
IBAN   

BIC or SWIFT                 
								
Credit Account 

□	Receipt of the holder with direct collection at Unicredit Bank (for amounts up to 
€ 999.99), 
ACKNOWLEDGES
that their personal and sensitive data will be processed according to EU Regulation 2016/679 (GDPR) for the protection of physical persons in relation to processing personal data. The grant holder also acknowledges that their curriculum vitae et studiorum and the declarations made, for which, pursuant to the current laws, there is the obligation of transparency, will be published on the Administration's website in the “Transparent Administration” section.
That in the case of infringement of the obligations deriving from the Code of conduct for civil servants, as laid down in art. 2 para. 3 of Presidential decree D.P.R. no. 62/2013 transposed into the Code of conduct of the University of Florence (D.R. no. 98, prot. 16906 of 8 February 2016), fruition of the financial benefit deriving from the grant shall be forfeited.

Pursuant to art. 46 and 47 of Presidential decree DPR of 28 December 2000 no. 445, aware of the legal responsibilities incurred with this deed and of the consequences that may arise from false or incomplete statements, the undersigned acknowledges the above as fully in accordance with their will and hereby undersigns the deed.

Florence, date	Signature

							_____________________________________

 * NB 

Regulation for the award of scholarships and research grants (Rector's decree D.R.54/2013)
…

 “Art 8 Incompatibility. 
1. The scholarship cannot be combined with research grants or other grants awarded for any reason, with the exception of those for the integration of periods abroad, nor with salaries deriving from public or private employment, even for a fixed term, except for the possibility that the grant holder is placed on unpaid leave by their employer. Nor can it be combined with remuneration deriving from self-employed assignments from the University.
2. The Administrative Director, after consultations with the Person in charge, may authorise the grant holder to carry out self employed assignments, conferred by subjects other than the University during the period in which they receive the grant."
…

INFORMATION NOTE ON THE PROCESSING OF PERSONAL DATA (ART. 13 EU REG. 2016/679)

For the purposes laid down in EU Regulation no. 2016/679 for the protection of physical persons, in relation to the personal data you have provided and acquired and also in relation to the free circulation of such data, we inform you that the data will be processed, in compliance with the aforementioned Regulation and with the ensuing rights and obligations. On the University's website, at the address https://www.unifi.it/p11360.html, a page is dedicated to the protection of personal data, also containing notification on processing the personal data of grant holders.
We also inform you that you are designated as responsible for the personal data processed by the allocating facility, as identified in the Register of processing activities and for which you receive suitable instructions for their protection. 

Florence, date
								    For acknowledgment, the declarant

								     _________________________________

N.B.: Please enclose a valid identity document 
Notes:
 (1)  Persons non-resident in Italy, if they earn a salary similar to income from employment, must in any case obtain an Italian Tax identification number.

 (2)  Pursuant to para. 142 of the Sole art. of law no. 296/2006 (Finance Act 2007) municipal surtax is owed to the municipality where the taxpayer has tax domicile on 1st January of the year to which the surtax refers. A change in tax domicile takes effect on the sixtieth day after the change has been made (art. 58, last para. Presidential decree DPR. no. 600/73).